Trust and COVID-19 vaccine hesitancy in the Dominican Republic: a national cross-sectional household survey, June– October 2021
Fecha
2024-05Autor
Garnier, Salome
Then, Cecilia
de St Aubin, Michael
Cadavid Restrepo, Angela
J Mayfield, Helen
Dumas, Devan
Duke, William
Pena, Farah
J Kucharski, Adam
Skewes, Ronald
Zielinski Gutierrez, Emily
Coyoli, Julia
Etienne, Marie Caroline
L Lau, Colleen
Vazquez, Marietta
Nilles, Eric
Metadatos
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Objective This study investigates the role of trust in shaping COVID-19 vaccine acceptance in the Dominican Republic (DR) during the COVID-19 pandemic. Design Cross-sectional household survey. Setting Randomly selected households across 134
clusters in the DR, from 30 June 2021 to 12 October 2021. Participants 5999 participants ≥16 years of age were enrolled. Outcome measures COVID-19
vaccine hesitancy (CVH)
data were collected from participants ≥16 years of age
and analysed as both an ordinal and binary variable.
Results Overall, CVH was low (5.2% (95% CI 4.6% to
5.8%)), but more common among younger individuals,
women and individuals of Mestizo ethnicity. Higher trust
in local government, national government, scientists and
local doctors (considered official sources) was associated
with lower odds of CVH (OR 0.89 (95% CI 0.72 to 0.88),
0.89 (95% CI 0.81 to 0.98), 0.87 (95% CI 0.80 to 0.94)
and 0.70 (95% CI 0.62 to 0.80), respectively). Higher trust
in religious leaders, social media and traditional media
(considered unofficial sources) was associated with higher
odds of CVH, with respective ORs of 1.32 (95% CI 1.18 to
1.47), 1.30 (95% CI 1.19 to 1.41) and 1.08 (95% CI 0.97
to 1.22).
Conclusion We report findings on CVH from a national
household survey in the DR and identify overall low
rates of CVH but marked heterogeneity by age, gender
and ethnicity. Trust in unofficial versus official sources
of information is associated with increased CVH. These
findings highlight and quantify the importance of trust
as a key parameter when considering public health
communication strategies.
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